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05/29/2009 08:55 9163711809 PANEY GEOTECHNICAL PAGE 01/01 <br /> DATE RECENEO f I L E EC I�UMYEFR <br /> I` �--- SAN JOAGiUIN COUNTY <br /> AD E` <br /> �%�/]�� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 2009 600 EaSt Main Street, Stockton, CA 95202-3029 <br /> MAY 2 8 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgo4" 3 <br /> ENVIRONMENT HEA!TH PUBLIC RECORDS RELEASE APPLICATIO <br /> PERI PLICART; —Pollyanna Barnich BUSINESS/AGENCY: —Raney Gootochnical, Inc._ <br /> ADDRESS: `3140 Beacon Blvd ChylStatolZlp West Sacramento,CA <br /> PHONE(1): _916.371-0434 X 23 PHONE(2): FACSIMILE: _916311-1809 <br /> TENTATIVE"APPOINTMENT DATE:Do onds on file vailabill os, 1,U09 Time: AM <br /> (Please allow 10 bus! ays ro ate of ap 0 bmittal-"T to o -must he confirmed) <br /> X Possibly.....CHECK BOX T EXPEDITE REQU O' HECK -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2-9�U <br /> Electronic Information: ❑List C Map-Descriptl <br /> FILE ADDRESS ___ _ 8HD USE ONLY <br /> _Street# Street Name _ CRy <br /> [( unit <br /> 1. 3834 Duck Creek Dr.,Stockton (aka:Tab Transportation) <br /> 2. 3862 Duck Creek Dr.,Stockton (aka:Tab Tranportation) Unit 2 <br /> 3:. — <br /> 4 l"Me 7 <br /> 8. I fl <br /> Unit <br /> B. <br /> 9. <br /> _...-- Units <br /> 10. <br /> Specific Date Range of Information Requested: From ALI_ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES * ALL APPLICABLE FILES'"` <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENTOLID WASTE FAclLM1VEHICLF�T 0 <br /> ff1PTHER CLEANUP SITE(NON4-OP) 173 FOOD FACILITY AstE TIRE I�r .� <br /> JAI H1 RGROUNDIIOUSW TANK(MERAT yNG/REMOVAL) 0 Cm KENNEL, AIRY <br /> AT�d AURoous WASTE GENERATOR ❑CHICKEN RANCH �WASTEWATER TREATMENT PLANT <br /> IERED PERMITTED FACILITY ❑MoTRLIHOML CI PUMPER TRUCK/YARDICHEM TOILETS <br /> TATTOOIBODY PIERCING O POOLISPA O LAND USE APPLICATION Sires <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILAaLE FOR REvIEw-MONDAY-FRIDAY 5:00 AMS:DOPM -EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five buslness days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked On by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$105 deposit prior to review. <br /> EHD USE ONLY <br /> EMD 48-06 SIMMS PUBLIC RECORDS RELEASE APP FORM <br />